Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Ann Lake, DNP

Individual provider Family Nurse Practitioner · NPI 1013398023

Lisa Ann Lake, DNP is a Nurse Practitioner in West Burlington, Iowa. Qualified in 2015, 11 years ago. Practices with Southeast Iowa Regional Medical Center Inc, a 258-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
11
Licensed in
IA
In the registry since
2015
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

1225 S Gear Ave Ste 159
West Burlington, IA 52655-1691
Phone: (319) 768-1570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence A120202 (IA)

Record details

NPI number1013398023
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedJune 16, 2015
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southeast Iowa Regional Medical Center Inc — 258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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